| David Neilsen, MD | |
|
2855 Old Highway 5, Blue Ridge, GA 30513-6248 | |
| (800) 291-4020 | |
| (919) 419-7247 |
| Full Name | David Neilsen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2855 Old Highway 5, Blue Ridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023076270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 49836 (Georgia) | Primary |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056 |
| Entity Name | Fannin Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588962880 PECOS PAC ID: 7012190002 Enrollment ID: O20110329000723 |
| Mailing Address | Practice Location Address |
|---|---|
| David Neilsen, MD 364 Liberty Ln, Dawsonville, GA 30534-5036 Ph: (706) 974-8719 | David Neilsen, MD 2855 Old Highway 5, Blue Ridge, GA 30513-6248 Ph: (800) 291-4020 |
Dr. Terence W Kolb, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2855 Old Highway 5, North, Blue Ridge, GA 30513 Phone: 706-632-3711 | |
Paul Christopher Conrad, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2855 Old Highway 5, Blue Ridge, GA 30513 Phone: 800-291-4020 Fax: 919-419-7247 | |
Rodney Moore, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2855 Old Highway 5, Blue Ridge, GA 30513 Phone: 800-291-4020 Fax: 919-419-7247 | |
Herbert Eugene Flynn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2855 Old Highway 5, Blue Ridge, GA 30513 Phone: 800-291-4020 Fax: 919-419-7247 |